CHARITY LYNETTE MARSH (NPI# 1538101472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538101472 |
| Entity Type | Individual |
| Full Name | CHARITY LYNETTE MARSH |
| Other Name | CHARITY L. WILSON |
| Credential | CNP |
| Practice Address |
1905 Stadium Blvd Jefferson City MO 65109-1961 |
| Mailing Address |
1800 Community Clinton MO 64735-8804 |
| Practice Telephone | 8884031071 |
| Mailing Telephone | 6608858131 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2019-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
141748 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 425791811 | 05 | |
| MO | UPIN | P53614 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1241 W Stadium Blvd, Jefferson City, MO 651096023 | 5736355264 | 5735561714 |
| Street Address |
1905 STADIUM BLVD |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65109-1961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164407367 | Amy M Blake | Social Worker | 1905 Stadium Blvd, Jefferson City, MO 65109-1961 | 2005-12-09 |
| 1093329229 | Jordan Hargrove | Social Worker | 1905 Stadium Blvd, Jefferson City, MO 65109-1961 | 2020-09-04 |
| 1073156998 | Michele Ernst Christman | Counselor | 1905 Stadium Blvd, Jefferson City, MO 65109-1961 | 2019-10-23 |
| 1033752209 | Chloe Payton Rimer | Counselor | 1905 Stadium Blvd, Jefferson City, MO 65109-1961 | 2019-10-21 |
| 1922570639 | Heather Renee Klemp | Social Worker | 1905 Stadium Blvd, Jefferson City, MO 65109-1961 | 2018-12-19 |
| 1780163436 | Marissa Rae Abbott | Counselor | 1905 Stadium Blvd, Jefferson City, MO 65109-1961 | 2018-08-13 |
| 1326526542 | Amber Dawn Johnson | Social Worker | 1905 Stadium Blvd, Jefferson City, MO 65109-1961 | 2018-07-31 |
| 1295213619 | Titus Shane Mayberry | Counselor | 1905 Stadium Blvd, Jefferson City, MO 65109 | 2018-07-30 |
| 1417433731 | Danielle Mackenzie Howell | Social Worker | 1905 Stadium Blvd, Jefferson City, MO 65109-1961 | 2018-07-19 |
| 1063905305 | Katelyn Mccoy | Social Worker | 1905 Stadium Blvd, Jefferson City, MO 65109-1961 | 2018-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
| 1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
| 1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
| 1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
| 1982004214 | Kara Elizabeth Wilbers | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109 | 2014-08-22 |
| 1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
| 1306077250 | Paula Hancock Johnson | Social Worker | 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 | 2009-07-27 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1972730141 | Nancy S Stork | Counselor | 204 Metro, Suite B, Jefferson City, MO 65109 | 2009-06-16 |
| 1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
| Find all providers in zip 65109 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316425721 | Jenna Marie Frost | Nurse Practitioner | 283 W Broadway Blvd, Jefferson City, TN 37760-2302 | 2018-07-30 |
| 1235473380 | Nicole Danielle Borrenpohl | Nurse Practitioner | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2012-11-15 |
| 1194757385 | Kimberly Ann Cotton | Nurse Practitioner | 2505 Mission Dr, Jefferson City, MO 65109-9508 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1376152546 | Chijioke Francisca Mbah | Nurse Practitioner | 900 Sw 33rd St, Lees Summit, MO 64082-4191 | 2020-07-23 |
| 1740807825 | Aldijana Sacic | Nurse Practitioner | 8525 Glenwood Dr, Saint Louis, MO 63126-1849 | 2020-07-06 |
| 1639796766 | Courtney Paige Schult | Nurse Practitioner | 431 Stonewater Dr, Pevely, MO 63070-3210 | 2020-07-06 |
| 1912524059 | Farah Lynn Shaddix | Nurse Practitioner | 1103 Warm Winds Dr, O Fallon, MO 63366-6327 | 2020-07-05 |
| 1669097119 | Melanie Nicole Beckham | Nurse Practitioner | 1100 South Springfield Ave, Suite B, Bolivar, MO 65613 | 2020-06-10 |
| 1215551973 | Nicole Lynn Parker | Nurse Practitioner | 1000 Jackson St Apt 1, Saint Charles, MO 63301-2676 | 2020-05-28 |
| 1386273217 | Andrea Morrow Wright | Nurse Practitioner | 8833 N Congress Ave Apt 813, Kansas City, MO 64153-1991 | 2020-04-03 |
| 1700413580 | Solange-belle Boma | Nurse Practitioner | 6326 Ne 44th St, Kansas City, MO 64117-1687 | 2020-03-24 |
| 1063044626 | Beatriz Fortaleza | Nurse Practitioner | 2305 South 65 Highway, Bldg A., Marshall, MO 65340-3702 | 2020-02-11 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSON CITY |
| Zip Code | 65109 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.